SPRINGFIELD PEDIATRIC DENTISTRY (NPI# 1811333792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811333792 |
| Entity Type | Organization |
| Organization Name | SPRINGFIELD PEDIATRIC DENTISTRY |
| Practice Address |
2200 Olympic Street Springfield OH 45503 |
| Practice Telephone | 9375687007 |
| Mailing Telephone | 9375687007 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2013-05-17 |
| Authorized Official Name | DR. ANDREA MYERS (PEDIATRIC DENTIST) |
| Authorized Official Telephone | 9375687007 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
30.023909 | OH | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409887 | Springfield Pediatric Dentistry | Dentist | 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 | 2018-06-06 |
| 1497210546 | Springfield Pediatric Dentistry | Dentist | 1224 Centre West Dr, Springfield, IL 62704-2184 | 2019-02-04 |
| Street Address |
2200 OLYMPIC STREET |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972672855 | Dennis David Baum | Dentist | 2200 Olympic Street, Springfield, OH 45503 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093182727 | Future Plan LLC Dba Home Instead Senior Care | In Home Supportive Care | 333 Mt Vernon Ave, Springfield, OH 45503 | 2015-08-28 |
| 1740665280 | Paulette Thomas | Occupational Therapy Assistant | 722 Patrick Road, Springfield, OH 45503 | 2015-07-27 |
| 1912391400 | Nanditha Alamelu Ranganathan | Student in an Organized Health Care Education/Training Program | 2655 Ballydoyle Dr., Springfield, OH 45503 | 2015-03-24 |
| 1598102568 | Careplus Home Healthcare | Registered Nurse | 802 N. Limestone St, Spfld, OH 45503 | 2013-05-30 |
| 1407120033 | Janice Louise Foster | Home Health Aide | 3131 Erter Drive, Springfield, OH 45503 | 2012-02-29 |
| 1306123112 | David P. Comer | Physician Assistant | 2600 N Limestone St Fl 2, Springfield, OH 45503 | 2011-11-08 |
| 1689953564 | Family Dental Care | Dentist | 1240 E. Main St, Springfield, OH 45503 | 2011-08-10 |
| 1942539317 | Latonia Marie Montgomery | Licensed Vocational Nurse | 2350 North Limestone #10, Springfield, OH 45503 | 2009-12-15 |
| 1518139385 | Springfield Eye Group LLC | Optometrist | 1674 North Limestone St, Springfield, OH 45503 | 2008-04-01 |
| 1457543951 | Kara Nicole Miller | Physician Assistant | 2600 N. Limestone, 2nd Floor, Springfield, OH 45503 | 2007-08-17 |
| Find all providers in zip 45503 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409887 | Springfield Pediatric Dentistry | Dentist | 3130 Tom Austin Hwy Ste B, Springfield, TN 37172 | 2018-06-06 |
| 1770999658 | Shehzad Muhammad Sajid | Dentist | 7200 Jillspring Ct, Springfield, VA 22152 | 2014-07-11 |
| 1265858021 | John Han D.d.s., P.C. | Dentist | 6120 Brandon Ave Ste 114, Springfield, VA 22150-2504 | 2014-03-17 |
| 1174804280 | Nahee Williams Mcdonald Dds PC | Dentist | 7841f Rolling Rd, Springfield, VA 22153-2821 | 2011-09-01 |
| 1619177854 | Nahee Williams Mcdonald | Dentist | 7841 Rolling Road, Suite F, Springfield, VA 22153 | 2007-07-24 |
| 1346457983 | Scott H Leaf | Dentist | 7841 Rolling Rd # F, Springfield, VA 22153-2821 | 2007-05-16 |
| 1225243173 | Anne Tran Nghiem | Dentist | 200 Birnie Ave, No Tooth Left Behind Dental Clinic, Springfield, MA 01107-1102 | 2007-05-14 |
| 1730243296 | Susan M Maurer | Dentist | 3020 Happy Landing Dr, Springfield, IL 62711-6259 | 2006-12-20 |
| 1568533727 | Springfield Smiles Youth Dentistry, LLC | Dentist | 376 Cooley St, Springfield, MA 01128-1144 | 2006-11-10 |
| 1427139872 | Joseph Michael Pruitt | Dentist | 1324 E Montclair St, Springfield, MO 65804-4245 | 2006-10-18 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45503 |
Please comment or provide details below to improve the information on SPRINGFIELD PEDIATRIC DENTISTRY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.